Nakasone, Randy Masao
Nakasone, Randy Masao is an individual health care provider with primary practice located at 508 University Ave , Las Vegas NM 87701-4349. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nakasone, Randy Masao can be contacted via phone (505) 425-7762.Contact Information
Primary practice address
508 University Ave
Las Vegas NM 87701-4349
Phone: (505) 425-7762
Fax: (505) 454-9880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1308 | New Mexico |
Profile Details
| NPI number | 1366512691 |
|---|---|
| LBN Legal business name | Nakasone, Randy Masao |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366512691 | NPPES |
| New Mexico | Other | 1308 | PT LICENSE |
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